NJDEP-Division of Water Quality - Ground Water Forms and Checklists


Division of Water Quality

	NJPDES Ground Water Discharge
	NJPDES Surface Water Discharge
	NJPDES Pretreatment and Residuals
	NJPDES Discharge to Stormwater
	NJPDES Significant Indirect User
	NJPDES Treatment Works Approval
	Municipal Finance Loan Applications
	NJPDES Adjudicatory Hearing Requests and Stay Request Forms
	Permit Applicaton Forms and Checklists Home

Discharge to Ground Water
Application Forms and Checklists

*Download forms to the right of your discharge category.

Discharge Category Description

Form Title

DGW- Individual Permit for Ground Water Discharge

	Application/RFA Completeness Checklist for Individual & General NJPDES Discharge to Ground Water Permits (DGW) (220 kb)
	NJPDES Form 1 (318 kb)
	Form R - Supplemental Application Form to NJPDES 1 and NJPDES Residual Permits (147 kb)

I1 - General Permit for Stormwater Basins at Sanitary Landfills

	Application/RFA Completeness Checklist for Individual & General NJPDES Discharge to Ground Water Permits (DGW) (220 kb)
	NJPDES Form 1 (318 kb)

I2 - General Permit for Potable Water Treatment Plants

	Application/RFA Completeness Checklist for Individual & General NJPDES Discharge to Ground Water Permits (DGW) (220 kb)
	NJPDES Form 1 (318 kb)
	Form R - Supplemental Application Form to NJPDES 1 and NJPDES Residual Permits (147 kb)

K2 - Dental Facilities Onsite Wastewater Treatment Systems

	Application/RFA Completeness Checklist for Individual & General NJPDES Discharge to Ground Water Permits (DGW) (220 kb)
	NJPDES Form 1 (318 kb)
	K2 Supplemental Application Form (24 kb)

LSI - General Permit for Lined Surface Impoundment

	Application/RFA Completeness Checklist for Individual & General NJPDES Discharge to Ground Water Permits (DGW) (220 kb)
	NJPDES Form 1 (318 kb)

T1 - General Permit for Sanitary Subsurface Disposal

	Application/RFA Completeness Checklist for Individual & General NJPDES Discharge to Ground Water Permits (DGW) (220 kb)
	NJPDES Form 1 (318 kb)
	T1 Facility Information Form (38 kb)

Miscellaneous Ground Water Discharge Checklists and Forms

Administrative Updates

	Administrative Update Form (41 kb)

Inactivation/Revocation of a Permit

	Checklist for Permittee Initiated Inactivation and/or Revocation ("Termination") of a NJPDES Permit, and Certificate of Closure (93 kb)
	NJPDES 1 Form (318 kb)

Statements of Consent

	WQM 003 - Statements of Consent (108 kb)

Transfer of Permit

	Application for Transfer of a Permit (49 kb)

Monitoring Well Certifications

	Monitoring Wells Certification - Form A - As-Built Certification (21 kb)
	Ground Water Monitoring Well Certificaiton - Form B - Location Certification (24 kb)

Engineers Report

	Engineer's Report for Individual Subsurface Sewage Disposal Systems (37 kb)

Discharge to Ground Water Guidance Documents
	Guidance for 50 or More Realty Improvement Certifications (813 kb)
	Technical Guide for Sizing and Positioning of: Spray Irrigation Systems, Overland Flow Systems, and Infiltration/Percolation Systems; and Surface Impoundments (128 kb)
	Guidelines for Developing Ground Water Protection Program Plans (226 kb)
	Technical Manual for NJPDES Discharge to Ground Water Permits (165 kb)